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首页> 外文学位 >Does procedural fairness matter in standardization? An examination of a drug standardization process in hospitals and its impact on hospital effectiveness.
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Does procedural fairness matter in standardization? An examination of a drug standardization process in hospitals and its impact on hospital effectiveness.

机译：程序公正性在标准化中重要吗？检查医院的药物标准化过程及其对医院有效性的影响。

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摘要

In this study, I explore the degree to which procedural fairness determines responses to bureaucratic standardization. I examine this question in the context of drug formularies in hospitals. Drug formularies are a list of drugs available to physicians in a healthcare organization, and represent a standardization of the drug choices available to physicians. While some proponents advocate the use of drug formularies as cost-effective management, critics see the use of formularies as potentially harmful to patients and as an infringement on the clinical autonomy of physicians, thereby ultimately contributing to poorer quality and/or higher costs of patient care. Drawing on organizational justice theory, I examine the role of procedural fairness in shaping the effectiveness of bureaucratic standardization. In conclusion, I argue that the effect of drug formularies on organizational effectiveness depends on the degree to which the process of setting and implementing formulary policies is deemed fair by those individuals who use these formularies.; Theoretically, this study contributes to the extension of procedural justice from its more traditional micro level formulation to the organization level. Rather than focusing on social psychological measurements of fairness and its outcomes, this study studies the structural features of procedural justice and their organizational consequences. From a practical point of view, understanding the conditions under which formulary standardization leads to organizational effectiveness is potentially an important means of improving the cost-effectiveness of the healthcare delivery system. The knowledge gained will help healthcare organizations and policy makers to design formulary standards that enhance, rather than undermine, organizational effectiveness.
机译：在这项研究中，我探讨了程序公平性决定对官僚标准化的反应的程度。我在医院的药物处方中研究了这个问题。药物配方是医疗机构中医生可用的药物清单，代表医生可用的药物选择的标准化。尽管一些支持者主张使用药物处方作为具有成本效益的管理方法，但批评者认为使用药物处方可能对患者有害并且侵犯了医生的临床自主权，从而最终导致患者质量下降和/或患者费用上升关心。借助组织正义理论，我考察了程序公平在塑造官僚主义标准化有效性方面的作用。总之，我认为药物处方对组织有效性的影响取决于使用这些处方的个人认为制定和实施处方政策的过程是否公平。从理论上讲，这项研究有助于将程序正义从其更传统的微观层面扩展到组织层面。本研究不是关注社会心理对公平性及其结果的衡量，而是研究程序正义的结构特征及其组织后果。从实践的角度来看，了解配方标准化导致组织有效性的条件可能是提高医疗保健交付系统成本效益的重要手段。获得的知识将帮助医疗保健组织和决策者设计制定标准，以提高而不是削弱组织的有效性。

著录项

  • 作者

    Kwon, Seok-Woo.;

  • 作者单位

    University of Southern California.;

  • 授予单位 University of Southern California.;
  • 学科 Business Administration Management.; Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 155 p.
  • 总页数 155
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 贸易经济;预防医学、卫生学;
  • 关键词

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